Organization
FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM W THARP (EXECUTIVE VICE PRESIDENT)
(352) 265-8017
Entity
Organization
Contact information
Practice address
4037 NW 86TH TERR, FIRST FLOOR, GAINESVILLE, FL 32606-0000
(352) 265-6200
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
12/28/2015
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